I have CIN1 and HPV so my doctor recommended chemotherapy?

by Rachel on July 9, 2011

I have had HPV for three years, and it has never progressed into cancer. At my last colposcopy, the results came back the same as they always do, CIN1, however this time the doctor said since it’s been three years it will probably turn into cancer and we should start chemotherapy if not radiation. ISN’t this a little DRASTIC for CIN1?!?!

{ 5 comments… read them below or add one }

ll_170 July 9, 2011 at 3:31 pm

I agree with you, the recomendation of your doctor is drastic. I would recommend you get a second opinion from an expert in the field.

april July 9, 2011 at 3:54 pm

That is NOT a treatment for either one of those conditions.

Janey July 9, 2011 at 4:04 pm

what???? Please get a second opinion NOW

HealthcareWorker July 9, 2011 at 4:04 pm

Chemotherapy and radiation are generally not first-line therapy for cervical cancer, much less CIN1. Per the 2006 consensus guidelines of the American College of Obstetrics and Gynecology, patients with a history of CIN1 and HPV for at least 2 years should undergo routine surveillance (cervical screening plus HPV testing) and colposcopy. Given your continued CIN1 on biopsy, an out-patient surgical excision (http://www.webmd.com/cancer/cervical-cancer/loop-electrosurgical-excision-procedure-leep-for-abnormal-cervical-cell-changes) is most likely also warranted. As noted, this can be done as an outpatient, is relatively nontraumatic and can often be the only treatment needed.

Although the consensus guidelines should only be used as that, a guideline, in conjunction with clinical expertise, I cannot really imagine why a physician would advocate chemotherapy or radiation without evidence of more invasive spread. Hope this helps!

Denisedds July 9, 2011 at 4:06 pm

Please get another doctor and never go back to this person. I can’t believe any doctor would suggest such a thing. I don’t know how they would pull it off anyway, as I can’t see any oncologist going along with this. I know this must be frustrating for you. 3 years is a long time. 57% of CIN1 lesions regress on their own, but apparently yours is a bit stubborn. It is not unusual for them to remain stable for long periods and maybe your doctor is right about it turning into cancer, but overkill is not the answer. At this point ablative therapy or maybe LEEP should be tried, but no way should chemo be considered.

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